PROFILE OF “CLINICO PATHOLOGICAL SIGNIFICANT CERVICAL LYMPHADENOPATHY IN CHILDREN”

Abstract

Introduction: Lymph node enlargement is normal age related physiological change, may also herald chronic infections and serious conditions like autoimmune disorders. Aims: To study the clinicopathological profile of significant Cervical lymphadenopathy in paediatric age group (1 month -12 years) and to arrive at an etiological diagnosis. Materials and Methods: Prospective study in our Chalmeda Anand Rao Institute Of Medical Sciences. Seventy consecutive children reporting to the Department of Paediatrics from 1 December 2020 to 30 June 2022 were studied. FNAC, Mantoux test and hematological parameters were performed in all the cases. Additional investigations like culture pus, serological test and x-ray were done wherever required. Among 70 cases the common age group was 4year to 8 years in Results: 41.4% children .The etiology was confirmed in 84.3% cases and could not be ascertained in 15.7% cases even after relevant investigations. Cytological examination revealed reactive lymphadenitis in 74.3% cases, tubercular lymphadenitis in 14.3% cases and Suppurative lymphadenitis in 7.1% cases. Also 4.3% cases yielded inadequate aspirate. Commonest etiology diagnosed after detailed investigation was due to infections in areas of drainage like tonsils, ear and scalp, oral cavity in 48.6% cases followed by tuberculosis in 25.3% cases Reactive lymphadenitis due to underly Conclusion: ing infection causedbystreptococcal and staphylococcal infections were the commonest treatableentityofsignificant paediatric cervical lymphadenopathy